Status:

SUSPENDED

CD19/CD20 Dual-CAR-T in B-cell Non-Hodgkin's Lymphoma Patients.

Lead Sponsor:

Beijing Tsinghua Chang Gung Hospital

Collaborating Sponsors:

China Immunotech Pharmaceuticals Co.Ltd.

Conditions:

B-cell Non-Hodgkin's Lymphoma

Eligibility:

All Genders

1-80 years

Phase:

EARLY_PHASE1

Brief Summary

This is a single center, single arm, open-label, phase I study to evaluate the safety and efficacy of CD19/CD20 Dual-CAR-T cells in patients with refractory or relapsed B-NHL.

Detailed Description

This Phase I study is designed as a pilot trial evaluating the safety and efficacy of CD19/CD20 Dual-CAR-T cell therapy in subjects with refractory and relapsed B-NHL. Subjects will receive cytoreduct...

Eligibility Criteria

Inclusion

  • Age ≥18 years
  • NHL confirmed by cytology or histology, including diffuse large B-cell lymphoma, follicular lymphoma, mantle cell lymphoma, etc.
  • Relapse or refractory after at least second-line treatment;
  • With evaluable target lesions.Measurable target lesions: lymph nodes\>1.5x1.0cm, extranodal lesions\>1.0x1.0cm;
  • Double positive expression of CD19 / CD20 in B cells;
  • ECOG score 0-2 points;
  • Good organ function:
  • Blood routine: absolute neutrophil count (ANC) ≥1.0×109/L; hemoglobin (Hb) ≥80 g/L; platelet count (PLT) ≥50×109/L; Blood biochemistry: total bilirubin≤3×upper limit of normal (ULN), aspartate aminotransferase (AST) and alanine aminotransferase (ALT)≤3×upper limit of normal (ULN); Pulmonary function: ≤CTCAE Grade 1 dyspnea and SaO2≥92% in indoor air environment; Heart function: Left ventricular ejection fraction (LVEF) ≥50%.
  • Women of childbearing age (15-49 years old) must receive a pregnancy test within 7 days prior to initiation of treatment and the results are negative; male and female patients with fertility must use an effective contraceptive to ensure 3 months after discontinuation of treatment during the study period not pregnant inside;
  • Patients who voluntarily sign informed consent and are willing to comply with treatment plans.

Exclusion

  • Active infections that are difficult to control;
  • Active hepatitis B, active hepatitis C, human immunodeficiency virus (HIV) antibody positive, and Treponema pallidum antibody test positive;
  • The tumor invades the central nervous system or primary CNS lymphoma;
  • Anti-GVHD (acute or chronic) treatment is being performed within 4 weeks before apheresis and cell infusion;
  • Have undergone the following treatments:
  • Those who have received chemotherapy or radiotherapy 5 days before apheresis;
  • Those who have used drugs that stimulate the production of bone marrow hematopoietic cells within 5 days before apheresis;
  • Received donor lymphocyte infusion (DLI) within 6 weeks before cell infusion;
  • Have received autologous hematopoietic stem cell transplantation (HSCT) 3 months before apheresis, or received allogeneic hematopoietic stem cell transplantation (allo-HSCT) within 12 months;
  • Have used any gene therapy products before;
  • History of epilepsy or other central nervous system diseases; or clinically diagnosed as having severe thyroid dysfunction; or active autoimmune diseases;
  • History of other malignant tumors that have not been remission for at least 3 years ;
  • Any of the following cardiovascular diseases occurred within 6 months of the screening period, including NYHA heart function grade III or IV heart failure, cardiovascular angioplasty or stent, myocardial infarction, unstable angina, or other clinical symptoms Significant heart disease;
  • Pregnant or lactating women;
  • The investigator believes that there are other factors that are not suitable for selection or that affect subjects' participation or completion of the study.

Key Trial Info

Start Date :

March 10 2022

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

June 10 2023

Estimated Enrollment :

12 Patients enrolled

Trial Details

Trial ID

NCT04697290

Start Date

March 10 2022

End Date

June 10 2023

Last Update

February 14 2022

Active Locations (1)

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Beijing Tsinghua Changgung Hospital

Beijing, Beijing Municipality, China